HUMAIRA JAMAL BARI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

HUMAIRA

Middle

JAMAL

Last Name

BARI

Business Name

HUMAIRA JAMAL BARI

Original Issue Date

10/20/2004

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023